Long-term metabolic syndrome is associated with periodontal pockets and alveolar bone loss
Tegelberg, Paula; Tervonen, Tellervo; Knuuttila, Matti; Jokelainen, Jari; Keinänen‐Kiukaanniemi, Sirkka; Auvinen, Juha; Ylöstalo, Pekka (2019-05-29)
Tegelberg, P, Tervonen, T, Knuuttila, M, et al. Long‐term metabolic syndrome is associated with periodontal pockets and alveolar bone loss. J Clin Periodontol. 2019; 46: 799–808. https://doi.org/10.1111/jcpe.13154
© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Tegelberg, P, Tervonen, T, Knuuttila, M, et al. Long‐term metabolic syndrome is associated with periodontal pockets and alveolar bone loss. J Clin Periodontol. 2019; 46: 799– 808, which has been published in final form at https://doi.org/10.1111/jcpe.13154. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
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https://urn.fi/URN:NBN:fi-fe2019100130658
Tiivistelmä
Abstract
Aim: To investigate whether the metabolic syndrome (MetS) is associated with deepened periodontal pockets and alveolar bone loss.
Materials and Methods: This study was based on a subpopulation of the Northern Finland Birth Cohort 1966 survey (n = 1964). The criteria of the AHA/NHLBI were used to determine MetS. The analyses were based on the metabolic data at ages 31 and 46, and probing pocket depth and alveolar bone level data at age 46. Relative risks (RR, 95% CI) were estimated using Poisson regression models.
Results: Relative risks for PD ≥ 4 mm and BL ≥ 5 mm were higher in individuals with an exposure to MetS ≥ 15 years (RR 1.8, 95% CI 1.6–2.1 and RR 1.5, 95% CI 1.3–1.9, respectively) than in those whose exposure was <15 years (RR 1.2, 95% CI 1.1–1.3 and RR 1.1, 95% CI 1.0–1.3, respectively). Consistently stronger associations were found in never smokers. Women showed stronger associations of MetS with PD ≥ 4 mm than men. The association with BL ≥ 5 mm was observed only in men.
Conclusion: A long‐term exposure by MetS was associated independently and in an exposure‐dependent manner with periodontal pockets and alveolar bone level.
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